CMS Price Transparency Data
Echocardiogram (heart ultrasound)
Facility: Diley Ridge Medical Center
Billing Code: 93306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93306
- Insurance Median: $1,896
- Cash Discount Price: $2,640
- vs. Medicare Baseline: 3.40x Medicare
The contracted insurance negotiated median rate for a Echocardiogram (heart ultrasound) at Diley Ridge Medical Center is $1,896. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,640. Compared to the federal Medicare reimbursement reference rate of $558.25, this hospital’s rate is 3.40x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$2,640
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,896
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$558.25
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $558.25 (100%)
Cash / Self-Pay: $2,640 (473%)
Insurance Median: $1,896 (340%)
Cash: $2,640 (473% of Medicare)
Ins. Median: $1,896 (340% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $558.25 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 340% of the Medicare baseline (a markup of 240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $463 - $553 | 83% |
| Aetna | $516 - $4,061 | 92% |
| Blue Cross Blue Shield | $516 - $4,061 | 92% |
| Hospice Mount Carmel | $527 | 94% |
| UnitedHealthcare | $527 - $1,780 | 94% |
| The Health Plan | $537 - $2,668 | 96% |
| Crime Victim Assistance | $632 | 113% |
| Ohio Safe Program | $632 | 113% |
| Oscar | $869 | 156% |
| Enterprise Group Planning | $1,017 | 182% |
| Custom Design Benefits | $1,101 | 197% |
| Quality Care Partners | $1,191 | 213% |
| Geha | $1,780 - $1,823 | 319% |
| Gravie Admin Services | $1,823 | 327% |
| Healthez | $1,823 | 327% |
| Meritain | $1,823 | 327% |
| Webtpa | $1,823 | 327% |
| Access Health | $1,896 | 340% |
| Acclaim | $1,896 | 340% |
| Administrative Concepts | $1,896 | 340% |
| Allegeant | $1,896 | 340% |
| Allied Benefit Systems | $1,896 | 340% |
| American Family | $1,896 | 340% |
| American Healthcare Alliance | $1,896 | 340% |
| American National | $1,896 | 340% |
| American Republic | $1,896 | 340% |
| Amerihealth | $1,896 | 340% |
| Aultcare | $1,896 | 340% |
| Automated Benefit Services | $1,896 | 340% |
| Auxiant | $1,896 | 340% |
| Benefit Administrative Systems,Llc | $1,896 | 340% |
| Boon Chapman | $1,896 | 340% |
| Cam Administrative Services | $1,896 | 340% |
| Christian Brother Services | $1,896 | 340% |
| Christian Brothers Holy Cross | $1,896 | 340% |
| Claimchoice Adminstrators | $1,896 | 340% |
| Comprehensive Benefits | $1,896 | 340% |
| Continental Life Insurance | $1,896 | 340% |
| Coventry | $1,896 | 340% |
| Custom Benefit Administrators | $1,896 | 340% |
| Cypress Benefit Administrators | $1,896 | 340% |
| Employee Benefit Concepts | $1,896 | 340% |
| Employee Benefit Management | $1,896 | 340% |
| Forest County Potawatomi | $1,896 | 340% |
| Freedom Life Insurance Company | $1,896 | 340% |
| Group Administrators | $1,896 | 340% |
| Group Marketing Services | $1,896 | 340% |
| Group Pension Administrators | $1,896 | 340% |
| Guardian | $1,896 | 340% |
| Health America | $1,896 | 340% |
| Health Choices | $1,896 | 340% |
| Healthcare Management Admin | $1,896 | 340% |
| Insight | $1,896 | 340% |
| Intercare | $1,896 | 340% |
| Jfp Benefit Management | $1,896 | 340% |
| Jp Farley Corporation | $1,896 | 340% |
| Key Benefit Administrator | $1,896 | 340% |
| Liberty Union Life Assurance Co | $1,896 | 340% |
| Lucent Health | $1,896 | 340% |
| Luminare Health | $1,896 | 340% |
| Magnacare | $1,896 | 340% |
| Medcost | $1,896 | 340% |
| Mutual Health Services | $1,896 | 340% |
| Mutual Of Omaha | $1,896 | 340% |
| Ncas | $1,896 | 340% |
| Nippon Life Ins | $1,896 | 340% |
| Nova | $1,896 | 340% |
| Painters Union Insurance Fund | $1,896 | 340% |
| Physicians Mutual | $1,896 | 340% |
| Plumbers Local 98 Insurance Fund | $1,896 | 340% |
| Prairie States | $1,896 | 340% |
| Preferred One | $1,896 | 340% |
| Primary Physician Care | $1,896 | 340% |
| Professional Benefit Administrators | $1,896 | 340% |
| Secureone Preferred United Plans | $1,896 | 340% |
| Siho Insurance Services | $1,896 | 340% |
| Sisco Benefits | $1,896 | 340% |
| The Loomis Company | $1,896 | 340% |
| Trustmark Small Business Benefits | $1,896 | 340% |
| U Of M Health Plan | $1,896 | 340% |
| Unicare | $1,896 | 340% |
| Unified Group Services | $1,896 | 340% |
| Us Health And Life | $1,896 | 340% |
| Valenz | $1,896 | 340% |
| Varipro | $1,896 | 340% |
| Wps | $1,896 | 340% |
| Blue Benefit Administrators Of Massachusetts | $1,965 | 352% |
| Blue Care Network | $1,965 | 352% |
| Blue Distinction Transplant | $1,965 | 352% |
| Blue Shield - Ca | $1,965 | 352% |
| Blue Shield - Id (Regence) | $1,965 | 352% |
| Blue Shield - Ny Highmark Northeastern | $1,965 | 352% |
| Blue Shield - Ny Highmark Western | $1,965 | 352% |
| Blue Shield - Pa (Highmark) | $1,965 | 352% |
| Blue Shield - Wa (Regence) | $1,965 | 352% |
| Medben | $2,030 - $3,046 | 364% |
| Humana | $2,076 - $4,061 | 372% |
| First Health | $2,140 | 383% |
| American Postal Workers Secondary | $2,277 | 408% |
| Cigna | $2,277 | 408% |
| Health Partners | $2,277 | 408% |
| Healthgram | $2,277 | 408% |
| Mvp | $2,277 | 408% |
| Priority Health | $2,277 | 408% |
| Rural Carrier Health Benefit Plan | $2,315 | 415% |
| Consociate | $2,481 | 444% |
| Health Ohio Network | $2,481 | 444% |
| Caresource | $2,965 | 531% |
| Healthlink Inc | $3,046 | 546% |
| Medical Benefits Mutual | $3,046 | 546% |
| Ohio Health Choice | $3,046 | 546% |
| Ohio Ppo Connect | $3,046 | 546% |
| Medical Mutual | $3,090 | 554% |
| Medi Share | $3,245 | 581% |
| Multiplan | $3,245 | 581% |
| Phcs | $3,245 | 581% |
| Philadelphia American Life Insurance | $3,245 | 581% |
| Ameriben | $3,249 | 582% |
| Luminare Health (Detroit) | $3,249 | 582% |
| Ohiohealthy | $3,249 | 582% |
| Osu Not Independent Choice | $3,249 | 582% |
| Twin Valley Psychiatric | $3,249 | 582% |
| Health Smart | $3,452 | 618% |
| Bccp | $4,061 | 727% |
| Medicaid / KanCare | $4,061 | 727% |
| Optima Health | $4,061 | 727% |